Office Copy

UNITED INDIA INSURANCE COMPANY LIMITED

IST FLOOR, UDYOG NAGAR METRO STATION, NEAR PEERAGARI, NEW DELHI
WEST DELHI - 110041 DELHI
PHONE: (9111) 25251995 FAX: (9111) 25251996 EMAIL:

EMPLOYEES COMPENSATION LIABILITY POLICY

POLICY NO.:0402012723P111947558

PERIOD OF INSURANCE
From 23:45 Hrs of 19/12/2023
To Midnight of 18/12/2024

Insured
M/S BHARTIYA CACCIALANZA FIRE ENGINEERING & SERVICES
B/99 SHAHEEN BAGH, ABUL FAZAL II, JAMIA NAGAR, NEW DELHI
SOUTH DELHI
110025
DELHI

Agent Name : GIRNAR INSURANCE BROKERS PVT LTD

Agent Code : BRC0000905
7551196989
Mobile/Landline Number/Email :
support@insurancedekho.com

The genuineness of the policy can be verified through "Verify Your Policy" link at www.uiic.co.in.

For any Information, Service Requests, Claim intimation and Grievances please write to 040201@uiic.co.in

Download Customer App(www.uiic.co.in). REGD. & HEAD OFFICE, 24, WHITES ROAD, CHENNAI - 600014.
Website: http://www.uiic.co.in
Printed By : CUSTOMER @ 19/12/2023 4:52:39 PM

This document is digitally signed

Signer: KALAIVENI SUBBIAH

Date: Tue, Dec 19, 2023 16:52:18 IST
Location: United India Insurance Company Ltd
1/3 Reason: Signing Policy for UIIC
Office Copy
Policy No:0402012723P111947558

EMPLOYEES COMPENSATION INSURANCE

POLICY SCHEDULE

Policy No. 0402012723P111947558 Prev. Pol. No.

Name Of Insured/ID M/s BHARTIYA CACCIALANZA FIRE ENGINEERING & SERVICES / 23276694020
Tel.(O) Fax Tel.(R) Mobile 8358987868
Business/Occupation None Email m.rathi@bcfsl.com
Midnight of
Period of Insurance From 23:45 Hrs of 19/12/2023 To
18/12/2024

CO-INSURANCE DETAILS: UIIC 040201 : 100%

PREMIUM: FOUR THOUSAND THREE HUNDRED FIFTY-FIVE RUPEES ONLY

Laws: The Policy covers Liability of the Insured under the following
Law(s) shown as covered, subject to claim being otherwise
admissible as per terms, conditions and exclusions of the Policy and
subject to Limit of Indemnity as stipulated against each Law:

LAW LIMIT OF INDEMNITY

Employee's Compensation Act,1923 Subject otherwise ,to the term, condition & Exclusion of the Policy
and subsequent amendments thereof ,the amount of liability incurred by the Insured
prior to the date of issue of Policy

Common Law
Subject otherwise, to the terms,conditions & Exclusions of the
P o l i c y , t h e a m o u n t o f l i a b i l i t y i n c u r r e d b y t h e Insured, b u t n o t
exceeding:-

a) Limit Per Employee for

any number of accidents
during Period of Insurance
0

b) Limit Per Accident for any

number of Employees 0

c) Aggregate Limit for all

accidents and claims arising
therefrom during the Period
of Insurance 0

Net Premium : 4,355.00

CGST(9%) : 392.00
SGST(9%) : 392.00
Stamp Duty : 1.00
Total : 5,139.00
Receipt No. : 10104020123113508948
Receipt Date : 19/12/2023

Agency/Broker Code: BRC0000905

BDIS Code: BD28705

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Office Copy
Policy No:0402012723P111947558
Details of Employees Covered:
Description Declared Declared Monthly Declared Wages Place/Places
Worker
of Number of Wage/Employee( during thePeriod of of Trade Category Sub Trade Category
Type
Employees Employees ) Insurance( ) Employment
ELECTRICAL Where any unit is handled
Skilled 2 18,000.00 432,000.00 ENGINEERS exceeding 12.7 Kilograms in weight
MANUFACTURERS when completed for use

Subject of following clauses:

Special Condition :
Subject to terms and Conditions of Employees Compensation Insurance Policy attached herewith.

Territory:-

Jurisdiction:-

Subsidiaries:-

Particular Of Work:-ELECTRICAL ENGINEERS (NOT MANUFACTURERS) INSTALLATION AND REPAIR OF PLANT, FITTINGS AND APPARTUS
WORK OTHER BUILDINGS AND ROOFS OF RAILWAY STATON OVER 9 METERS HEIGHT OR WHRERE ANY UNIT IN HANDLED EXCEEDING 12.7
KILOGRAMIN WEIGHT

Location Of Risk:-SAME AS CUSTOMER ID

Add-ons/Extension/Cover Details:-
Cover Total SI( ) Premium( )
Basic Cover 432000 6804

Customer GST/UIN No.: 07AAACB7654C1ZX Office GST No.: 07AAACU5552C1ZL

SAC Code: 997139 Invoice No. & Date: 2723I111947558 & 19/12/2023
Amount Subject to Reverse Charges-NIL

We hereby declare that though our aggregate turnover in any preceding financial year from 2017-18 onwards is more than the
aggregate turnover notified under sub-rule (4) of rule 48, we are not required to prepare an invoice in terms of the provisions of the said
sub-rule.
Anti Money Laundering Clause:-In the event of a claim under the policy exceeding 1 lakh or a claim for refund of premium exceeding
1 lakh, the insured will comply with the provisions of AML policy of the company. The AML policy is available in all our operating offices as
well as Company's web site.

LET US JOIN THE FIGHT AGAINST CORRUPTION. PLEASE TAKE THE PLEDGE AT https://pledge.cvc.nic.in.

Date of Proposal and Declaration: 19/12/2023

IN WITNESS WHEREOF, the undersigned being duly authorised has hereunto set his/her hand at BO 2 NEW
DELHI 040201 on this 19th day of December ,2023

For United India Insurance Co. Ltd.

Affix Policy
Stamp here.

Authorised Signatory.
Underwritten By - ANI28725 ( BO UNDERWRITER )

'Policy form - Claims made with right to defend.'

This is a system generated document and any manual alteration / correction / overwriting in the document will make it invalid.

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